Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study

Ellman, Harvard; Kay, Stephen P.; Wirth, Michael A.

doi:10.1016/s0749-8063(05)80374-3

Cited by 185 publications

(75 citation statements)

References 8 publications

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“…3) In particular, massive rotator cuff tears (MRCTs), defined as full-thickness tears of at least two tendons that are retracted at least 5 cm in the coronal plane, have in some cases caused pseudoparalysis (the inability to actively elevate the shoulder more than 90° without neurological damage). [4][5][6][7][8] However, other MRCT patients who have undergone conservative treatment, such as rehabilitation without surgical repair, can elevate their arms actively more than 90°. 9) The factors affecting active arm elevation recovery in MRCT patients have not been fully elucidated.…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional Scapular Kinematics During Arm Elevation in Massive Rotator Cuff Tear Patients

Miura

Kai

Morihara

et al. 2017

PRM

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Objective: Rotator cuff tears can influence shoulder kinematics and severely impair function. However, there have been no studies on three-dimensional (3D) shoulder kinematics in massive rotator cuff tear (MRCT) patients. Hypothesizing that MRCT patients could demonstrate significantly changed scapular kinematics during arm elevation in the scapular plane, we compared 3D scapular kinematics in the scapular plane between MRCT patients and healthy elderly subjects. Methods:We assessed 15 shoulders of 11 MRCT patients and 16 shoulders of 16 healthy subjects. With the subjects seated, we used an electromagnetic tracking system to calculate the upward rotation, posterior tilt, and internal rotation of the scapula at 10° increments from 30° to 120° with respect to the thorax. We performed two-way analysis of covariance with the initial position of the scapular motion as the covariate and performed multiple comparisons using the Bonferroni method. Results: MRCT patients exhibited significantly higher scapular upward rotation than did the healthy subjects (P < 0.05). There were no significant differences between groups with regard to posterior tilt and internal rotation. Conclusions: This study indicated that when MRCT patients elevated their arms, they exhibited a significantly higher scapular upward rotation at low-to mid-range elevations compared with that of healthy subjects. This difference may have resulted from a compensatory effect in response to the decreased elevation torque caused by the loss of rotator cuff function. These results may assist rehabilitation strategies to improve active arm elevation in MRCT patients.

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Section: Introductionmentioning

confidence: 99%

Three-dimensional Scapular Kinematics During Arm Elevation in Massive Rotator Cuff Tear Patients

Miura

Kai

Morihara

et al. 2017

PRM

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“…Ellman et al looked at the long term followup of their cohort over 2 -7 years. They found that in patients with massive cuff tears, debridement alone provided significant pain relief but had no effect on improving function and range of motion (33). A study by Scheibel et al reported similar results following subacromial decompression for large and irreparable tears showing improvement of pain symptoms while preserving the coraco-humeral ligament thus maintaining the integrity of the coraco-humeral arch (34).…”

Section: Debridement and Sub-acromial Decompressionmentioning

confidence: 99%

Large/Massive Tears, Fatty Infiltration, and Rotator Cuff Muscle Atrophy: A Review Article With Management Options Specific to These Types of Cuff Deficiencies

et al. 2016

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Context: There are many studies in the literature looking into factors affecting outcomes in rotator cuff surgery. The aetiology of rotator cuff deficiency is often multi-factorial and there are many facets towards successful management in this often debilitating condition. Evidence Acquisition: We performed a literature search of MEDLINE and Embase databases using the terms large rotator cuff tears, fatty infiltration rotator cuff, rotator cuff atrophy, rotator cuff augmentation, rotator cuff tendon transfers, allografts rotator cuff repair, xenograft rotator cuff repair and synthetic grafts rotator cuff repair. Results: In this article, we focus particularly on the aetiology, pathology and prognosis of large tears, fatty infiltration and muscle atrophy of the rotator cuff. An overview of the various treatment strategies and current/future concepts are also discussed in managing patients with these types of rotator cuff deficiencies. Conclusions: Large tears, fatty infiltration and muscle atrophy of the cuff are challenging. An in-depth understanding of these elements may prove vital for the practising orthopedician in determining the right course of management. Techniques in strengthening the repair construct using augmentation play an important role in the treatment of this condition.

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“…At mean 57 months follow up, functional outcome scores had significantly increased. While short term outcomes have been shown to be reasonable with arthroscopic debridement mainly due to relief from mechanical impingement pain rather than improved shoulder strength [98,99], long term outcomes have been mixed [99][100][101][102][103][104][105]. When performed, the integrity of the coracoacromial ligament must be preserved to prevent humeral head anterosuperior escape [106].…”

Section: Treatmentmentioning

confidence: 99%

Rotator Cuff Tears in Polytrauma - A Hidden Lesion

Grimshaw¹,

Cannada²

2012

J Trauma Treatment

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Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study

Cited by 185 publications

References 8 publications

Three-dimensional Scapular Kinematics During Arm Elevation in Massive Rotator Cuff Tear Patients

Three-dimensional Scapular Kinematics During Arm Elevation in Massive Rotator Cuff Tear Patients

Large/Massive Tears, Fatty Infiltration, and Rotator Cuff Muscle Atrophy: A Review Article With Management Options Specific to These Types of Cuff Deficiencies

Rotator Cuff Tears in Polytrauma - A Hidden Lesion

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